The Children'S Dental Foundation

LBN: The Children'S Dental Foundation
The Children'S Dental Foundation is an health care organization with primary practice located at 200 Falls Canyon Road , Avalon CA 90704. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / Dental Assistant. Dental Providers / Dentist is the primary health care specialty. The Children'S Dental Foundation can be contacted via phone (310) 510-8287, or through Blake, John via phone (562) 933-3141.

Contact Information

Primary practice address
200 Falls Canyon Road Avalon CA 90704
Phone: (310) 510-8287
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blake, John Doctor of Dental Surgery (DDS)
Phone: (562) 933-3141

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X California
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1710161880
LBN Legal business name The Children'S Dental Foundation
DBA Doing business as
Authorized official Blake, John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 24th, 2007
Last updated Jan 16th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710161880 NPPES
California Other G90360-03 DENTI-CAL STATE PROGRAM

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